Active NPI
Taylore Chanillo, NP, APRN, FNP-BC, RN
- Family Nurse Practitioner
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01281300
- Practice address
- 1125 Route 22 Ste 155
Bridgewater, NJ 08807-2939 - Phone
- (908) 947-9863
- Fax
- (732) 560-3206
- NPI assigned
- Mar 14, 2022
- Last updated
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01281300 | NJ | Primary |
Addresses
Primary practice location
1125 Route 22 Ste 155
Bridgewater, NJ 08807-2939
Mailing address
1125 Route 22 Ste 155
Bridgewater, NJ 08807-2939
Phone (908) 947-9863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR18877800 | Other | NJ | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
1125 US Hwy 22
Suite 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01281300 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Current | Accepting new patients | |
| Personal NP Services, LLC | Current | Accepting new patients | |
| Vitality NP Group LLC | Past | Accepting new patients |
Locations
456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Nurse Practitioner
- Horsham, PA
- NPI 1003453051
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1982352530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 ROUTE 22 STE 155",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072939",
"telephone_number": "908-947-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 ROUTE 22 STE 155",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072939",
"telephone_number": "908-947-9863",
"fax_number": "732-560-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANILLO",
"first_name": "TAYLORE",
"credential": "NP, APRN, FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01281300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "26NR18877800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
- Center for Psychological Assessment and Treatment
- Central Jersey Colon and Rectal Surgeons PA
- Central Jersey Endocrine Assoc LLC (Richard J Agrin,MD, Leon Shulman,MD)
- Central Jersey Neurophysiology LLC
- Sherin Marie Chakoian, PT
- Mitchell C Chasin, M.D.
- M Anwar Chaudhry, MD
- Sangeeta M Chavan-Patil
- Nitin Chavan, MASSAGE THERAPIST
- Rashmi Chavan, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.